Application Form

Name of Candidate Md Raj
911041181655

Student Photo Not Available
Mother's Name Farzana Begam
Father's Name Mohammad Azad
Date of Birth * 07-Jan-2007
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Mustafapur Kuppaghat mayaganj bhagalpur bihar 812003
Mobile No. 7631306032
Email Address mdrajazadalam@gmail.com

Course Details

Course Name /Code Advance Diploma in Computer Application (ADCA)
Course Duration 12 Months

Center Details

Center Code 91104118
Center Name Sterliate Training Institute
Center Address Adampur
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: _______________

Date : _______________
Authorized Signatory